Risk factors for excessive gestational weight gain in a UK population: a biopsychosocial model approach.
Risk factors for excessive gestational weight gain in a UK population: a biopsychosocial model approach.
复制标题
DOI：
10.1186/s12884-020-03519-1
复制
发表时间：
2021-01-10
影响因子：
3.1
通讯作者：
John RM
中科院分区：
文献类型：
--
作者：
Garay SM;Sumption LA;Pearson RM;John RM
孕期体重增加（GWG）可能对母亲和孩子的健康产生影响。然而，促成因素仍不清楚。尽管使用生物心理社会方法的优势，这种方法还没有被应用到研究GWG在英国。本研究的目的是调查英国人群中过度GWG的危险因素，采用生物心理社会模型。这项研究利用了来自威尔士（GiW）队列的纵向数据，该队列招募了南威尔士怀孕后期的妇女。具体而言，数据收集从助产士记录的笔记和广泛的问卷调查完成之前，选择性剖腹产（ELCS）分娩。根据医学研究所（IOM）指南对GWG进行分类。对275名参与者进行了分析。在这一人群中，56.0%的妇女GWG过多。产前抑郁症状增加（Exp（B）=1.10，p= 0.019）和超重（Exp（B）=4.16，p<0.001）或肥胖（Exp（B）=4.20，p= 0.010）孕前BMI，怀孕期间饮酒（Exp（B）= 0.37，p= 0.005）和收入低于18,000英镑（Exp（B）= 0.24，p= 0.043）和25-43英镑，000（实验（B）= 0.25，p= 0.002）与过度GWG相关。GWG是复杂的，并受到一系列生物心理社会因素的影响，在这一人群中过度体重增加的高患病率引起关注。英国的女性可能会受益于国民健康服务（NHS）对GWG的修订方法，例如在整个怀孕期间跟踪体重增加。此外，这项研究为未来干预的潜在目标提供了证据，并为潜在的高危人群提供了目标，以改善GWG的结果。在线版本包含补充材料，可通过10.1186/s12884-020-03519-1获得。
Gestational weight gain (GWG) can have implications for the health of both mother and child. However, the contributing factors remain unclear. Despite the advantages of using a biopsychosocial approach, this approach has not been applied to study GWG in the UK. This study aimed to investigate the risk factors of excessive GWG in a UK population, employing a biopsychosocial model. This study utilised data from the longitudinal Grown in Wales (GiW) cohort, which recruited women in late pregnancy in South Wales. Specifically, data was collected from midwife recorded notes and an extensive questionnaire completed prior to an elective caesarean section (ELCS) delivery. GWG was categorised according to Institute of Medicine (IOM) guidelines. The analysis was undertaken for 275 participants. In this population 56.0% of women had excessive GWG. Increased prenatal depression symptoms (Exp(B)=1.10, p=.019) and an overweight (Exp(B)=4.16, p<.001) or obese (Exp(B)=4.20, p=.010) pre-pregnancy BMI, consuming alcohol in pregnancy (Exp(B)=.37, p=.005) and an income of less than £18,000 (Exp(B)=.24, p=.043) and £25–43,000 (Exp(B)=.25, p=.002) were associated with excessive GWG. GWG is complex and influenced by a range of biopsychosocial factors, with the high prevalence of excessive weight gain in this population a cause for concern. Women in the UK may benefit from a revised approach toward GWG within the National Health Service (NHS), such as tracking weight gain throughout pregnancy. Additionally, this research provides evidence for potential targets for future interventions, and potentially at-risk populations to target, to improve GWG outcomes. The online version contains supplementary material available at 10.1186/s12884-020-03519-1.
登录
查看更多内容
影响因子：
3.1
作者：
Cheney K;Berkemeier S;Sim KA;Gordon A;Black K
通讯作者：
Black K
影响因子：
2.3
作者：
Kowal, Christine;Kuk, Jennifer;Tamim, Hala
通讯作者：
Tamim, Hala
影响因子：
10.5
作者：
BARNETT, B;PARKER, G
通讯作者：
PARKER, G
DOI：
10.1016/s1701-2163(16)34050-6
发表时间：
2009-01-01
影响因子：
1.8
作者：
Crane, Joan M. G.;White, Joanne;Hutchens, Donna
通讯作者：
Hutchens, Donna
影响因子：
--
作者：
Brown, R A;Dakkak, H;Seabrook, J A
通讯作者：
Seabrook, J A